| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $35.48 | $117.49 | |
Ambetter
| Professional | $16.98 | $38.02 | $66.07 | |
Cigna
| Professional | $26.30 | $43.65 | $75.86 | |
Kaiser Permanente
| Professional | $25.12 | $38.02 | $56.23 | |
Molina
| Professional | $13.49 | $32.36 | $33.11 | |
Premera BCBS
| Professional | $29.51 | $43.65 | $60.26 | |
Regence BlueShield
| Professional | $31.62 | $42.66 | $57.54 | |
United
| Professional | $28.18 | $41.69 | $67.61 | |
Wellpoint
| Professional | $33.11 | $38.90 | $63.10 |